Serum amylase levels in the first postoperative day after pancreaticoduodenectomy: What are they related to and what can they predict?
Objectives Serum amylase values in the first postoperative day after pancreaticoduodenectomy (PD) are part of the diagnosis of acute postoperative pancreatitis(PAP). Still there are some evidences that they can also be related to others postoperative complications as pancreatic fistula (PF).The aim of the study was to evaluate the role of serum amylase levels in the first postoperative day, their correlation with the development of PAP and PF in a multivariate approach. (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Marco Cereda, Giovanni Capretti, Gennaro Nappo, Cristina Ridolfi, Bruno Branciforte, Francesca Gavazzi, Alessandro Zerbi Tags: 10. Pancreatic surgery I Source Type: research
Variant hepatic artery in pancreatoduodenectomy for adenocarcinoma – Does it have influence on postoperative complications and oncological radicality?
Objectives The anatomical variants of the hepatic artery (HA) can be found in up to 30% of population. Most common variants - a replaced or accessory right HA - may pose technical challenges during pancreatoduodenectomy (PD) for pancreatic adenocarcinoma as a result of its proximity to the head of pancreas. The aim of our study is to compare the outcome following a PD in patients with and without a variant HA arising from superior mesenteric artery. (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Pavel Skalick ý, Martin Loveček, Jana Tesaříková, Jiří Ehrmann, Jozef Škarda, Vojtěch Prášil, Radim Kovář, Čestmír Neoral Tags: 10. Pancreatic surgery I Source Type: research
Clinical implications of intraoperative fluid therapy in pancreatic surgery: It is not “just water”
Objectives Recent studies have suggested that intraoperative fluid overload is associated with a worse outcome after major abdominal surgery. However, evidence in the field of pancreatic surgery is still not consistent. The aim of this study was to evaluate whether intraoperative fluid management could affect the outcome of a major pancreatic resection. (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Stefano Andrianello, Giovanni Marchegiani, Elisa Bannone, Gaia Masini, Giuseppe Malleo, Gabrielle Lucio Montemezzi, Enrico Polati, Claudio Bassi, Roberto Salvia Tags: 10. Pancreatic surgery I Source Type: research
Autologous Islet transplantation and pancreas resection for complex pancreatic trauma-is there a role for remote processing?
Objectives Autologous islet transplantation (AIT) after pancreatic resection can be performed for indications other than chronic pancreatitis. Complex pancreatic trauma refractory to endoscopic and conservative treatment often necessitates major resection, with a risk of post-operative glucose intolerance. The use of AIT in this setting poses unique challenges such as the need to isolate islets on an urgent basis and has not been widely reported. The aim of this study was to explore the role of remote processing of autologous islets for complex pancreatic trauma. (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Pooja Prasad, Jennifer Logue, Wiiliam E. Scott, Minna Honkanen-Scott, Julian DeHaviland, Ahmad Abou-Saleh, James AM. Shaw, John Casey, Derek M. Manas, Steven A. White Tags: 10. Pancreatic surgery I Source Type: research
Duodenojejunal or gastroenteric leakage after pancreatic resection: A case control study
Objectives The duodeno-jejunal (DJ) or gastro-jejunal (GJ) anastomosis leakage represents a rare but life-threatening complication after either pancreaticoduodenectomy (PD) or total pancreatectomy. Aim of the present study was to assess the incidence, clinical presentation, risk factors and management of the DJ or GJ leak after either PD or TP (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Michele Mazza, Stefano Crippa, Niccol ò Pecorelli, Domenico Tamburrino, Giovanni Guarneri, Stefano Partelli, Renato Castoldi, Gianpaolo Balzano, Massimo Falconi Tags: 10. Pancreatic surgery I Source Type: research
Feeding jejunostomy in patients undergoing major pancreatic resections
Objectives Nutritional support is a key point of perioperative therapy after major pancreatic resections. The aim of this study was to asses feasibility and safety of jejunostomy as early enteral feeding approach. (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Zakhar Kovalenko, Dmitriy Ananyew, Evgeniy Achkasov Tags: 10. Pancreatic surgery I Source Type: research
Resectable periampullary tumor after severe acute pancreatitis. What type of surgery to choose?
Objectives Specific pancreas remnant-related complications are most frequent causes of severe surgical problems and mortality after proximal pancreatic resections. Aim of this study is to asses safety of two surgical approaches in patients with resectable pancreatic head and ampullary tumors after previously treated severe acute pancreatitis (AP). (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Zakhar Kovalenko, Dmitriy Ananyew, Viacheslav Egorov, Roman Petrov, Igor Fainstein, Kamil Dalgatov Tags: 10. Pancreatic surgery I Source Type: research
Minimally invasive interventions in the treatment of patients with acute necrotizing pancreatitis
Objectives The treatment of acute necrotizing pancreatitis (ANP) remains a complex and time-consuming problem of urgent abdominal surgery. (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Aleh Kudelich, Aliaksei Protasevich Tags: 10. Pancreatic surgery I Source Type: research
2029 cases of Whipple's procedure: 12-year experience from a single center
Objectives Whipple ’s procedure is one of the most challenging operation in abdominal surgery. Better outcomes were reported in experienced hands and in high-volume centers. Our aims are to investigate short- and long-term outcomes after Whipple procedure. (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Yi Miao, Kuirong Jiang, Cuncai Dai, Junli Wu, Wentao Gao, Feng Guo, Jianmin Chen, Jishu Wei, Zipeng Lu Tags: 10. Pancreatic surgery I Source Type: research
Difficult diagnosis and localization of multi-focal nesidioblastosis in an adult: Implications of near-infrared intraoperative imaging
Objectives Introduction: Nesidioblastosis in adults is an infrequent cause of hyperinsulinemic hypoglycemia. Only 4 cases of the focal form in adults have been published to date. Nesidioblastosis is a real challenge for surgeons, as functional and anatomical imaging are not able to detect and localize it accurately. (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Sorin Traian Barbu, Ovidiu Vasile Fabian, Iacob Domsa, Adriana Zolog, Stefan Strilciuc, Daniel Tudor Cosma, Ioan Veresiu Tags: 10. Pancreatic surgery I Source Type: research
Prognostic impact of Ki-67 proliferative index in resectable pancreatic ductal adenocarcinoma
Objectives Pancreatic ductal adenocarcinoma (PDAC) is a tumor with a complex biology and a dismal prognosis. New targets to stage correctly the disease and manage treatment are needed. Ki-67 expression in tumor tissues is a well-known parameter representing the aggressiveness of neoplasms, but it is not used for PDAC. Aim of this study is to analyze the role of Ki-67 as prognostic factor in a series of resected PDAC. (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Ilaria Pergolini, Stefano Crippa, Michele Pagnanelli, Giulio Belfiori, Alessandro Pucci, Stefano Partelli, Corrado Rubini, Paola Castelli, Giuseppe Zamboni, Massimo Falconi Tags: 10. Pancreatic surgery I Source Type: research
Pancreatoduodenectomy in the Elderly: single center experience
This study aimes to analyze short- and long-term outcomes of PD in elderly patients. (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Ylenia Camilla Spolverato, Mario Gruppo, Francesca Tolin, Luca Saadeh, Francesca Zingales, Imerio Angriman, Romeo Bardini Tags: 10. Pancreatic surgery I Source Type: research
Enhanced Recovery After Surgery (ERAS) reduces the incidence of Delayed Gastric Emptying (DGE) following Pancreaticoduodenectomy
Objectives Delayed Gastric Emptying (DGE) is a common complication following partial pancreatoduodenectomy (PD) and significantly contributes to prolonged hospitalisation. Enhanced Recovery After Surgery (ERAS) protocols have been widely introduced in the UK aiming to accelerate recovery and reduce length of hospital stay. There are limited data on the impact of ERAS on DGE. (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Andrea Sheel, Klaire Exarchou, Ryan Baron, Val Akintunde, Jo Garry, Phil Whelan, Robert Sutton, Christopher Halloran, Paula Ghaneh, John Neoptolemos, Michael Raraty, Vincent Yip Tags: 10. Pancreatic surgery I Source Type: research
Distal pancreatectomy with resection of the celiac axis (DP-CAR) for pancreatic cancer
Objectives Pancreatic body/tail cancer often involves the Celiac Axis (CA) and regards as an unresectable disease. To treat the disease, we employed distal pancreatectomy with resection of the Celiac Axis (DP-CAR) . We aim to analyze whether DP-CAR is a safe approach with acceptable patient survival. (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Junli Wu, Feng Guo, Pengfei Wu, Zipeng Lu, Kai Zhang, Cuncai Dai, Wentao Gao, Jianmin Chen, Jishu Wei, Kuirong Jiang, Yi Miao Tags: 10. Pancreatic surgery I Source Type: research
Surgical correction of biliary hypertension in patients with complicated forms of chronic pancreatitis
Objectives The morbidity of chronic pancreatitis (CP) is in the world – 3.1-8 cases per 100 thousand of population, in European countries – 4-8 cases per 100 thousand of population. Of these, from 4 to 9% requires surgical care. (Source: Pancreatology)
Source: Pancreatology - June 1, 2018 Category: Gastroenterology Authors: Volodymyr Galyuk, Volodymyr Pylypchuk, Igor Shevchuk Tags: 10. Pancreatic surgery I Source Type: research
